PRESENCE OF SYSTEMIC DISEASES OF THE PATIENTS WHO EVALUATED IN OUR CENTER AND DIAGNOSED AS OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME

Material and Method: 328 patients who had evaluated with PSG included in our study. All patients medical history were considered for systemic diseases. Body mass index (BMI) calculated and neck circumference measured. Epworht Sleepiness Scale (ESS) aplied. According to apnea hypopnea index (AHI) and BMI of the patients 4 groups constituted. The patients who diagnosed as OSAS divided into two groups as patients with systemic diseases and without systemic diseases.

Results: 195 (59,4%) of the patients had no systemic diseases. 62 (18%) of patients had hypertension, 24 (7,3%) had cardiac patologies like coranary hearth disease(CHD), history of myocardial infarction, angina, 8 ( 2,4%) had Diabetes Mellitus (DM); 15 (4,5%) had asthma or Chronic Obstructive Pulmonary Diseases (COPD), 7 (2,1%) had pysiatric patologies like depression, anxiety and 3 (0,9%) had epilepsy. 10 patients with hypertension also had DM (3%) and 2 of them had asthma (0,6%). 2 patients had anemia. Systemic diseases were more frequent in male sex (p<0,0001) Especially in the systemic disease group with mild and severe apnea male dominancy is prominent. There were no statistical relationship between AHI, neck circumference measurements, ESS and having systemic diseases. BMI were significantly higher in systemic disease group.

Conclusion: Systemic diseases should be developed and progresses by OSAHS. All OSAHS patients especially males and with high BMI should be evaluated for systemic diseases. Keywords : Obstructive sleep apnea, apnea hypopnea index, neck circumference, Epworth sleepiness scale, body mass index, chronic diseases